Alignment membership grows 31% in 2025

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Alignment Healthcare added roughly 65,000 members in 2025, bringing its total enrollment to about 275,300 as of Jan. 1.

The Medicare Advantage insurer disclosed the 31% year-over-year growth on Jan. 12, following a strong annual enrollment period. The company has maintained a roughly 30% compounded annual membership growth rate since going public in 2021.

Alignment expects to end 2026 with between 290,000 and 296,000 members. The company said its projections of about $145 million in adjusted EBITDA for 2026 will fall within its guidance range when full-year targets are provided during its fourth quarter earnings call.

The company reaffirmed its full year 2025 guidance for membership, revenue, adjusted gross profit and adjusted EBITDA.

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